Luc Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51569 Issued in CA

Legal business name

LUC DENTAL INC.

Practice address

8101 Laguna Blvd
2
Elk Grove, CA 95758-8202

Phone

(916) 684-1922

NPI assigned

May 14, 2015

Last updated

May 14, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maylene Luc

Title

Owner

Phone

(916) 502-0884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Luisa Mier-Bautista, D.M.D.

  • Dentist
  • Elk Grove, CA
  • NPI 1528076510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1982082608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9881 IZILDA CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958298167",
            "telephone_number": "916-502-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 LAGUNA BLVD",
            "address_2": "2",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588202",
            "telephone_number": "916-684-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUC DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "LUC",
        "authorized_official_first_name": "MAYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-502-0884"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yochabel Loyola
• Joanne Villarruz Lozano, NP
• Kimberly Lozano
• Sofia Lozano
• Nancy Lu
• Stephanie Roth Lucchesi, M.S. COUNSELING, MFT
• Corey Lucero-Perkins, LCSW
• Lucky Stores II LLC (Savon Drugs)
• Martha Ludeke
• Cassandra Ann Luera

• General Practice Dentistry in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.